Physician Alignment Consulting & Clinical Consulting Solutions
Sustaining Excellence in Clinical Care
The Dynafios physician practice consulting service brings expertise in assisting both large and small single or multi-specialty practices to increase efficiency, create staffing models for effective growth, and build and/or restart key clinics.
In our clinical consulting process, Dynafios assesses current functional and productivity outputs, provides benchmarks, and lays out plans to achieve top-level performance in the practice setting.
Key areas of focus for practice optimization include:
Productivity
- Dynafios has created a proprietary tool that aligns each specialty clinic with levels of wRVU production and the types of staffing required for an efficient operation.
- Productivity benchmarks to achieve top decile performance
- Follow up with the organization to ensure a seamless transition for all parties involved
Staffing
- Optimized scheduling to manage resources and costs
- Alignment and engagement of key providers to drive top decile performance
- Actionable KPI management for the practice
- Provider variation management for costs
- Ability to easily monitor and manage financial and operational metrics
Governance
- Effective clinic governance and leadership model for high performance
- Deliver best practice standards around scheduling, engagement and workflow
- Provide continuity to new leadership and align with both staff and providers in delivering quality care
Navigating Behavioral Change to Improve Clinical Outcomes
Health systems and physicians have a unique relationship. Physicians make decisions about patient care that affect the health system’s financial viability. They look to provide optimal care and often resent hospital-generated guidelines they were not a party to creating which seem to impact care by reducing costs.
Thus, a conundrum arises: aligning the goals and aspirations of the health system and providers to deliver sustainable programs that enhance patient outcomes while improving financial performance.
The Dynafios physician alignment consulting and clinical consulting service can help solve this problem through value-based strategies and co-management models.
Value-Based Enterprise
Recruiting top providers is a priority for all healthcare systems today. Accurate provider compensation is essential to attract talent, retain providers, and expand critical services.
Co-Management
We have established co-management agreements for key service lines such as hospital medicine, cardiovascular, oncology, orthopedics and surgical services. Our clinical consulting process begins with setting expectations and developing a shared vision among physicians and hospitals. While there are many details to work through, the overall structure of a co-management arrangement is straightforward.
Dynafios Co-Management and Clinical Consulting Approach
- Program Assessment The initial step in establishing a co-management agreement is to evaluate opportunities for both quality, financial and operational improvements.
- Physician ParticipantsThe next step is to appropriately identify those physicians that are critical to the program and will be key participants in improving performance through the co-management process.
- Management Duties Determining the scope of management duties is critical to identifying FMV compensation for physician payments.
- Valuation Letters Important to any physician compensation for services is establishing the FMV for the level of work and the scope of the management duties. Critical to the process is to ensure the KPI’s or indicators are commercially reasonable.
- Physician Education Dynafios uses an initial kickoff meeting as part of the physician alignment consulting process to educate key stakeholders on co-management and to initiate the design of the contract and indicators critical to the agreement's success.
- Negotiation of Terms From the initial meeting to the kickoff, this is the time the Dynafios team works with local general counsel and each of the physician managers to appropriately negotiate the terms of the agreement.
- Indicator Definition A proposed list of indicators spanning 3 years is presented to the physicians and hospital executives. The indicator specifics include population criteria, numerator and denominator definitions, baselines, anticipated goals and any exclusionary criteria that might apply. Finally, there is a measurement period established that reveals the timing of “on the clock” for results to achieve the bonus compensation.
- Finalize Contract & Kick Off Dynafios works with all parties to successfully finalize the terms to execute an agreement. Just 90 days from start to kick-off.
Physician Contract Compliance Including FMV Opinion Letters
Ensuring all bases are covered while mitigating risk through physician agreements.
With healthcare business arrangements growing increasingly complex and financial reporting of healthcare organizations under heightened scrutiny, fair market valuations (FMV), auditing, and contract adjudication are more important than ever.
Our team of senior appraisers uses both national and proprietary databases for FMV opinion letters and a variety of business, contractual, and asset valuation work. From FMV opinion letters to contract adjudications, our experienced clinical consulting team can provide third-party review for all your compliance needs.
In addition to our compliance services, Dynafios offers software products that help reduce compliance risk related to physician agreements. The Dynafios Provider Compensation Management Platform is an easy-to-use physician timekeeping and contract compliance app that helps ensure all contractual relationships are compliant and within FMV.
Value Based Enterprise – Limited Risk
With recent changes to the Stark and AKS statutes created by the Regulatory Sprint to Coordinated Care, providers have a significantly greater ability to move towards higher-quality, value-based care arrangements. With the simple requirements of a Value-Based Purpose, Value-Based Enterprise, Value-Based Arrangement and Value-Based Activities, organizations can now manage target patient populations in tighter care coordinated protocols.
Who can be a Value-Based Enterprise (VBE)?
A VBE can be considered a network of providers engaged in value-based activities. Any type of organization can be a Value-Based Enterprise, including CIN, ACO or other contractual professional services agreements.
VBEs must have an accountable body or person responsible for the financial oversight of the VBE, and a governing document that describes the VBE, its purpose, and the participant’s intent to achieve the value-based outcomes. VBE must have a target patient population selected using legitimate, verified criteria that define the need for improvement.
What is a Value-Based Purpose?
The Value Based Purpose must include one of four (4) purposes:
- Care coordination
- Quality of care improvement
- Reduction of cost without reducing quality
- Transition in payments from volume to value for care delivery
What is a Value-Based Arrangement?
Written agreement specifying the target patient population and value-based activities to achieve the VBE purpose. It must include the target population, description of the remuneration, and the term of the agreement.
What is the Benefit of a Value-Based Enterprise?
Structuring relationships with providers through a VBE provides new opportunities to target activities related to care coordination, directed referrals, and cost standardization given the new AKS and Stark safe harbors and exceptions.
Partnering with post-acute providers can now include in-kind remuneration, such as cost sharing for Care Coordinators. Direct referrals to specific providers or suppliers are allowed for the target patient population.
Why Dynafios? OR How Do I Get Started?
Dynafios has decades of experience in clinical alignment consulting, bringing together providers and organizations to deliver higher-quality care and cost predictability across a variety of settings and patient populations. Our physician alignment and clinical consulting team brings the latest evidence-based practices and works with providers and other clinical staff to implement and track improved outcomes.
Results Driven
Founded in 2004, Dynafios continues to grow and expand across the healthcare industry, assisting clients in physician alignment, analytics, and compliance services. With a team of seasoned analysts and practice optimization consultants, Dynafios works closely with each client to improve the clinical processes of care, patient experience, operational efficiencies, and outcomes…all critical in a value-based purchasing environment!
Our innovative Provider Compensation Management Platform enables clients to understand provider performance and helps organizations efficiently manage performance-based compensation and time-based activities that require payment for services.
Meet the Dynafios Clinical Consulting Team
Cassandra Couey, MSN, RN
With deep experience in the healthcare industry, Cassy Couey brings a diverse clinical background spanning critical care, emergency medicine, surgical services, cardiovascular care, leadership, and quality improvement. Her ability to bridge frontline clinical expertise with strategic oversight makes her a vital force in driving healthcare program success.
Cassy holds a Bachelor of Science in Nursing from the University of Texas at Arlington and a Master of Science in Nursing with a specialization in Health Informatics from Grand Canyon University. Her academic and professional journey reflects a strong commitment to leveraging technology and data to enhance patient outcomes, streamline operations, and support evidence-based decision-making.